Provider Demographics
NPI:1568019602
Name:TRIANGLE HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:TRIANGLE HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MORALES-MONTOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-827-2473
Mailing Address - Street 1:5870 FARINGDON PL STE 1
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-3931
Mailing Address - Country:US
Mailing Address - Phone:919-827-2473
Mailing Address - Fax:984-222-3663
Practice Address - Street 1:5870 FARINGDON PL STE 1
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3931
Practice Address - Country:US
Practice Address - Phone:919-827-2473
Practice Address - Fax:984-222-3663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-22
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health